Testing & Validation Analyst I

MedImpact Healthcare Systems, Inc.San Diego, CA
$25 - $41Onsite

About The Position

This position is responsible for testing, reviewing, and performing in-depth analysis of completed benefit, pharmacy, and/or formulary configurations in a pre-production environment. The goal is to ensure that the configuration functions as intended, meets client business requirements, and is ready for delivery. The role involves collaborating with business partners and clients to ensure accuracy and flawless delivery of changes, analyzing claims adjudication results, and documenting test results. It also includes providing support to senior analysts and handling client-facing responsibilities.

Requirements

  • BS/BA and 2+ years’ experience or equivalent combination of education and experience
  • Intermediate to advanced knowledge of MS Office / Word, Excel PowerPoint, and Outlook.
  • Experience as an intermediate user of multiple business software applications and working knowledge of key technical applications such as SQL, Oracle based databases, and Golden 32.
  • The ability to run SQL queries and scripts required.
  • Ability to gather and document business requirements and client specifications.
  • Ability to develop, execute and document test plans as part of quality assurance/control processes and procedures.
  • Demonstrated ability to positively interact with clients, internal customers and peers.
  • Demonstrated willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results.
  • Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment.
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Ability to write reports, business correspondence, and procedure manuals.
  • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Nice To Haves

  • Excellent customer service skills and interpersonal communication skills (listening/verbal/written).
  • Ability to manage difficult or emotional client situations.
  • Respond promptly to client needs.
  • Solicit client feedback to improve service.
  • Respond to requests for service and assistance from clients.
  • Meet commitments to clients.

Responsibilities

  • Reviews configuration completed by the Configuration Analyst team.
  • Develops additional test scenarios to augment sub-standard test plans produced during unit testing, ensuring system claims processing accuracy and adherence with design requirements and best practices.
  • Works with business partners to validate the accuracy of benefit changes by performing non-standard testing of complex benefit designs and reviewing and approving test claims produced by the Configuration Analyst during unit testing in a pre-production environment.
  • Ensures consistent customer satisfaction by collaborating with client team counterparts, internal business partners and clients to ensure that business requirements for change requests are clearly understood, documented, communicated, tested, and delivered flawlessly.
  • Analyzes claims adjudication results and identifies discrepancies, inaccuracies, anomalies, and unintended consequences.
  • Makes recommendations and develops solutions to enhance the accuracy of configuration designs.
  • Confirms accuracy of adjudication configurations and approves changes from the test environment to the production environment, adhering to unit procedural and quality standards and independent judgment.
  • Presents test claim results to clients through WebEx demonstrations, when necessary.
  • Documents the accuracy of design, configuration, and unit test plans through the Accuracy Scorecard within Salesforce, enabling the tracking of department and individual performance to identify training opportunities or process improvement measures.
  • Completes special projects and assignments as assigned.
  • Assists with pre-Assessment and configuration of change requests and answering client research questions when needed.
  • Provides support to Sr. Testing and Validation Analysts as well as Lead Testing and Validation Analyst.

Benefits

  • Medical / Dental / Vision / Wellness Programs
  • Paid Time Off / Company Paid Holidays
  • Incentive Compensation
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus
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